Arizona Medicaid Application

State:
Multi-State
Control #:
US-0538BG
Format:
PDF
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Description

Use this form to find out quickly if you qualify for presumptive eligibility for Medicaid. Presumptive eligibility offers you and your family immediate access to health care while you apply for regular Medicaid or other health coverage.

Arizona Application for Presumptive Eligibility for Medicaid is a crucial form that allows individuals to gain temporary access to Medicaid while their regular Medicaid application is being processed. This program is meant to provide immediate healthcare coverage for low-income individuals who would otherwise have to wait for a determination of eligibility. To begin the process, eligible individuals need to complete the Arizona Application for Presumptive Eligibility for Medicaid. This application can be obtained from healthcare providers, hospitals, community health centers, or the Department of Economic Security (DES) offices. It is important to note that there are different types of Arizona Applications for Presumptive Eligibility for Medicaid, depending on the applicant's circumstances. One type of application is for pregnant women. Pregnant women seeking immediate healthcare coverage during their pregnancy can complete the Arizona Application for Presumptive Eligibility for Medicaid for Pregnant Women. This application allows them to receive essential prenatal care and treatment until their regular Medicaid application is processed. Another type of application is for children. Parents or legal guardians can complete the Arizona Application for Presumptive Eligibility for Medicaid for their children to ensure their little ones receive necessary healthcare services while their regular Medicaid application is being reviewed. The Arizona Application for Presumptive Eligibility for Medicaid requires applicants to provide personal information such as name, address, contact details, Social Security number, proof of income, and other relevant documentation. This information is crucial to determine if the individual or their family meets the income and other eligibility requirements for Medicaid coverage. Once the completed application is submitted, it will be reviewed, and presumptive eligibility will be determined. If the applicant is deemed presumptively eligible, they will receive a letter confirming their eligibility and outlining the duration of coverage. It is important to note that this coverage is temporary and applicants must still complete a regular Medicaid application within the designated time frame to continue to receive healthcare coverage beyond the presumptive eligibility period. In conclusion, the Arizona Application for Presumptive Eligibility for Medicaid plays a vital role in providing immediate healthcare coverage for eligible individuals during the processing of their regular Medicaid application. The different types of applications, such as those for pregnant women and children, ensure that vulnerable populations receive the necessary healthcare services they need. By completing this application accurately and promptly, individuals can access essential healthcare services without having to endure lengthy waiting periods.

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You will get an AHCCCS ID card from your health plan. Keep your AHCCCS ID card with you. If you do not have your AHCCCS ID card with you, you can give the provider your AHCCCS ID number or Social Security number so they can look up your AHCCCS information.

Income & Asset Limits for Eligibility 2023 Arizona Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleMarried (both spouses applying)Home and Community Based Services$2,742 / month?$4,000 ($2,000 per spouse)Regular Medicaid / Aged Blind and Disabled$1,215 / month (eff. 2/1/23 ? 1/31/24)No limit2 more rows ?

Income Limits Household SizeGross Monthly Income Limit Effective 02/01/20231$1,6162$2,1863$2,7564$3,5252 more rows

Income Limits Household SizeGross Monthly Income Limit Effective 02/01/20231$1,6162$2,1863$2,7564$3,5252 more rows

A decision will be made by one of the following dates: Within seven days from the application date if you are hospitalized. Within 20 days from the application date if you are pregnant. At the latest, 45 calendar days from the application date.

Speak to an Eligibility Customer Service representative: 1-855-HEAplus (1-855-432-7587).

Arizona Complete Health-Complete Care Plan (Medicaid Only) Information on that process can be obtained by calling the AHCCCS Help Desk at (602) 417-4451. AHCCCS has developed a Web application that allows providers to verify eligibility and enrollment using the Internet.

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Complete and sign the Hospital Presumptive Eligibility Agreement with AHCCCS. · Have a fully executed Health-e-Arizona Plus Subscription Agreement in place with ... Hospitals will use special features in Arizona's electronic application ... Presumptive Eligibility will cover health care services only through the dates of the ...Use this form to find out quickly if you qualify for presumptive eligibility for Medicaid. Presumptive eligibility offers you and your family immediate ... The easiest way to apply for benefits is online through Health-e-Arizona Plus. You may also begin the application process by phone by calling 1-855-432-7587. Application Process: 1. Right to apply. A person may apply for presumptive eligibility for AHCCCS medical coverage by submitting an Administration-approved ... No information is available for this page. Presumptive Eligibility will cover health care services only through the dates of the decision. Presumptive Eligibility coverage is temporary and will stop ... by F Carrión — Either the applicant can start filling out the regular Medicaid application or the state or qualified P.E. entity may create a separate P.E. ... by T Brooks — the application for on-going Medicaid or CHIP, gather documents needed to verify eligibility, and submit the application. The state provides qualified entities. Apr 14, 2020 — Temporary coverage is crucial for individuals who experience COVID-19 symptoms, as completing a full Medicaid application while sick is unsafe, ...

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Arizona Medicaid Application